Edwin Clarence Wentz, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

14591 Issued in TX

Practice address

4013-84TH
Lubbock, TX 79423

Phone

(806) 792-7223

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C. Edwin Wentz DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hobbs, NM
  • NPI 1679163083
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1740364074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#2 LAKESHORE DRIVE",
            "city": "RANSOM",
            "state": "TX",
            "postal_code": "79366",
            "telephone_number": "806-745-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013-84TH",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79423",
            "telephone_number": "806-792-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "EDWIN",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "14591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah L Wells, NP-C
• Welltree Physical Therapy LLC
• Marni Saige Wendeborn, FNP
• Kuline Elizabeth Wendling, PHARM. D.
• Wentz and Woodrich PLLC
• Garrett Wentz, OD
• Lisa McDaniel Wentz, D.D.S.
• Parker David Wentz, DDS
• Donald Everett Wesson, M.D.
• West Carlisle Volunteer Fire Department, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.